KIDS CAMP BOOKING FORM
Parent/Guardian Information
Name
DOB
-
Day
-
Month
Year
Date
Address
Email
example@example.com
Phone Number
Format: 00000 000 000.
Alternative Next of Kin/Parent/Guardian Name
Alternative Next of Kin/Parent/Guardian Contact Number
Format: 00000 000 000.
Security password for alternative contact/collection
Communication Channels
Email
SMS
Telephone
Social Media
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1st Child’s Information
Camp applying for:
Name
DOB
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Child’s Ethnicity
Child’s attended school
HAF Code (needed in order to claiming a free place)
Does your child have any Special Educational Needs* - please give as much information as possible
Does your child have any medical needs* - please give as much information as possible
Does your child have any allergies/specific dietary needs* - please give as much information as possible
I agree to my child having his/her photo taken or being video-recorded for promotional purposes
Yes
No
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2nd Child’s Information
Camp applying for:
Name
DOB
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Child’s Ethnicity
Child’s attended school
HAF Code (needed in order to claiming a free place)
Does your child have any Special Educational Needs* - please give as much information as possible
Does your child have any medical needs* - please give as much information as possible
Does your child have any allergies/specific dietary needs* - please give as much information as possible
I agree to my child having his/her photo taken or being video-recorded for promotional purposes
Yes
No
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3rd Child’s Information
Camp applying for:
Name
DOB
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Child’s Ethnicity
Child’s attended school
HAF Code (needed in order to claiming a free place)
Does your child have any Special Educational Needs* - please give as much information as possible
Does your child have any medical needs* - please give as much information as possible
Does your child have any allergies/specific dietary needs* - please give as much information as possible
I agree to my child having his/her photo taken or being video-recorded for promotional purposes
Yes
No
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Next
4th Child’s Information
Camp applying for:
Name
DOB
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Child’s Ethnicity
Child’s attended school
HAF Code (needed in order to claiming a free place)
Does your child have any Special Educational Needs* - please give as much information as possible
Does your child have any medical needs* - please give as much information as possible
Does your child have any allergies/specific dietary needs* - please give as much information as possible
I agree to my child having his/her photo taken or being video-recorded for promotional purposes
Yes
No
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How did you hear about us?
*
Parent/Guardian Signature
Preview PDF
Submit
Should be Empty: